<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <title></title>
    <meta name="renderer" content="webkit">
    <meta name="author" content="中文Lee 360811363@qq.com">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
    <link rel="stylesheet" href="../../../lib/layui-v2.6.3/css/layui.css" media="all">
    <link rel="stylesheet" href="../../../css/public.css" media="all">
    <!--
    * [LupMisAllowedSync]
    * 本代码为系统自动生成代码，请根据自己业务进行修改;
    * 生成时间 2022-04-13 10:14:25;
    * 版权所有 2020-2022 lizhongwen，并保留所有权利;
    * 说明: 这不是一个自由软件！您只能在不用于商业目的的前提下对程序代码进行修改和使用；不允许对程序代码以任何形式任何目的的再发布;
    * 作者: 中文Lee;
    * 作者主页: http://www.lizhongwen.com;
    * 邮箱: 360811363@qq.com;
    * QQ: 360811363;
    -->
</head>
<body>
<div class="layuimini-container">
    <div class="layuimini-main">
        <form class="layui-form" action="">
            <div class="layui-col-md6">
                <div class="layui-form-item">
                    <label class="layui-form-label"><b style='color:red'>*</b> 代理商名称</label>
                    <div class="layui-input-block">
                       <input type="text" name="agent_name"   lay-verType="msg" lay-verify="required" lay-reqtext="请输入代理商名称" placeholder="请输入代理商名称" autocomplete="off" class="layui-input data-check-type-none field-type-varchar ">
                    </div>
                </div>
            </div>
            <div class="layui-col-md6">
                <div class="layui-form-item">
                    <label class="layui-form-label"><b style='color:red'>*</b> 手机号</label>
                    <div class="layui-input-block">
                       <input type="text" name="tel"   lay-verType="msg" lay-verify="required" lay-reqtext="请输入手机号" placeholder="请输入手机号" autocomplete="off" class="layui-input data-check-type-tel field-type-varchar ">
                    </div>
                </div>
            </div>

            <div class="layui-form-item">
                <div class="layui-input-block">
                    <button class="layui-btn" lay-submit="" lay-filter="form-submit">立即提交</button>
                </div>
            </div>
        </form>
    </div>
</div>
<script src="../../../js/run.js"></script>


<script type="text/javascript">
$init(function() {
    
    
    
    
    //初始化上传附件
    initUploadFile();
    //初始化日历
    initCalendar();
    var gateway = getQueryString("gateway");
    frameSubmit(base_gateway + gateway, true, function(ret) {

    });
});
</script>
</body>
</html>
